Ellis, James Bradley
Ellis, James Bradley is an sole proprietor health care provider with primary practice located at 1306 67Th St Nw , Fort Payne AL 35967-8306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellis, James Bradley can be contacted via phone (334) 425-4295.Contact Information
Primary practice address
1306 67Th St Nw
Fort Payne AL 35967-8306
Phone: (334) 425-4295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4301C | Alabama |
Profile Details
| NPI number | 1477183754 |
|---|---|
| LBN Legal business name | Ellis, James Bradley |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2020 |
| Last updated | Jan 26th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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